Staff Members - Benha University
THE RISK OF CONTRAST-NDUCED NEPHROPATHY IN TRANSRADIAL VERSUS TRANSFEMORAL ACCESS APPROACHES AFTER PERCUTANEOUS CORONARY INTERVENTION
• 2022
Publication Information
Authors
Mahmoud Shawky Abdelmoneum1, Hesham Mohamed Aboul-Enein1, Khaled
Sabry Hawas2*, Wael Ahmed Elsayed Makled3, and Mohammed Mahros Ali1
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publication.type
Local
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Abstract
Background:Contrast-induced nephropathy, often known as CIN, is a frequent
complication that may occur after procedures that include contrast media
administration. Several riskshave been recognized as being independent predictors of
CIN; nevertheless, to this day, there are no conclusive data available on the
association between the angiographic technique and its development.
Aim and objectives:to investigate the incidence of CIN and the variables that may
have contributed to its development in patients who had percutaneous coronary
intervention (PCI) using either the transfemoral (TF) or the transradial (TR) access
technique.
Subjects and methods:The Cardiology Departments of Agoza, Benha university, and
Benha teachinghospitals participated in this prospective research. Patients who had
PCIwere included in the study. Patients with congenital or structural heart disease and
people with end-stage renal disease were not included in the study. Patients were
categorized into two study groups TFA and TRA. For CIN, it was defined as an
absolute (≥0.5 mg/dL) or relative (>25%) increase in the baseline serum creatinine
level within 48 hours following PCI.
Result:The TFA group showed a significantly higher rate of post-procedural CIN
than the TRA group (22 percent vs 6 percent; P =0.041).Also, Contrast volume was
significantly higher in the TFA than in the TRA group (P-value
complication that may occur after procedures that include contrast media
administration. Several riskshave been recognized as being independent predictors of
CIN; nevertheless, to this day, there are no conclusive data available on the
association between the angiographic technique and its development.
Aim and objectives:to investigate the incidence of CIN and the variables that may
have contributed to its development in patients who had percutaneous coronary
intervention (PCI) using either the transfemoral (TF) or the transradial (TR) access
technique.
Subjects and methods:The Cardiology Departments of Agoza, Benha university, and
Benha teachinghospitals participated in this prospective research. Patients who had
PCIwere included in the study. Patients with congenital or structural heart disease and
people with end-stage renal disease were not included in the study. Patients were
categorized into two study groups TFA and TRA. For CIN, it was defined as an
absolute (≥0.5 mg/dL) or relative (>25%) increase in the baseline serum creatinine
level within 48 hours following PCI.
Result:The TFA group showed a significantly higher rate of post-procedural CIN
than the TRA group (22 percent vs 6 percent; P =0.041).Also, Contrast volume was
significantly higher in the TFA than in the TRA group (P-value